A case of bilateral prenatal testicular torsion: Ultrasonographic features, histopathological findings and management.
OBJECTIVE
The aim of this study was to demonstrate the ultrasonographic features of prenatal bilateral torsion of the testis, and its histological correlation and management.


METHODS
A newborn presented at delivery with both testes enlarged, swollen and tender. Prenatal ultrasound (US) showed enlarged, hyperechoic testes. Colour Doppler US examination was performed.


RESULTS
US revealed both testes to be heterogeneous. Colour Doppler US did not reveal any flow signal. On inguinal exploration both testes appeared necrotic. Histology showed recognizable seminiferous tubules and Leydig cells.


CONCLUSIONS
We believe that both testes should be left in situ after bilateral detorsion even if their macroscopic appearance is necrotic.
Arena
F
F
Department of Medical and Surgical Sciences, U.O.C. di Chirurgia Pediatrica, Policlinico Universitario, Viale Gazzi, University of Messina, 98125 Italy. arenaf@unime.it
Nicòtina
P A
PA
Scalfari
G
G
Visalli
C
C
Arena
S
S
Zuccarello
B
B
Romeo
G
G